Evidence map›Paper›PMID 31250183›Full record

SynthesisSupportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer2019

Psychostimulants for cancer-related cognitive impairment in adult cancer survivors: a systematic review and meta-analysis.

Nadia Miladi, Richi Dossa, Maman Joyce Dogba, Marie Immacula Fabienne Cléophat-Jolicoeur, Bruno Gagnon

Abstract readMeta-AnalysisSystematic Review
PubMed Publisher
In one paragraph

Synthesis in Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
1.6field-weighted citation impact, top 16% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

16 citing papers in PubMed, 26 citations in OpenAlex.

  1. A pilot study of a targeted cognitive intervention for cancer survivors.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2025
    Trial
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  14. Medical and Neurological Management of Brain Tumor Complications.Current neurology and neuroscience reports · 2021
    Review
  15. Review
  16. Neurological and Medical Complications in Brain Tumor Patients.Current neurology and neuroscience reports · 2020
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 1 institution in 1 country.

Nadia MiladiOncology Division, CHU de Québec-Laval University Research Center, Quebec City, QC, Canada.ORCID http://orcid.org/0000-0002-0153-9302
Richi DossaOncology Division, CHU de Québec-Laval University Research Center, Quebec City, QC, Canada.
Maman Joyce DogbaOncology Division, CHU de Québec-Laval University Research Center, Quebec City, QC, Canada.
Marie Immacula Fabienne Cléophat-JolicoeurOncology Division, CHU de Québec-Laval University Research Center, Quebec City, QC, Canada.
Bruno GagnonOncology Division, CHU de Québec-Laval University Research Center, Quebec City, QC, Canada. Gagnon.Bruno@crchudequebec.ulaval.ca.
Université Laval · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCognitive impairment is recognized as a common symptom experienced by cancer survivors which impacts on quality of life (QoL) and day-to-day activities. One of the treatment options is the use of psychostimulants but the evidence supporting its use remains unclear.

objectivesTo identify the level of evidence of psychostimulants' effect on the management of cognitive impairment in adult cancer survivors.

methodsElectronic databases (MEDLINE, EMBASE, CENTRAL, CINAHL) and reference lists of relevant reviews were searched from inception to December 2017, with no language restrictions applied. Randomized controlled trials (RCTs), evaluating the effect of psychostimulants on cognitive impairment among cancer patients with no primary or secondary brain tumor or brain radiation, were included. The primary outcome was cognitive function changes, whereas secondary outcomes were adverse events (AEs) and QoL.

resultsSix RCTs were included: three studies investigating methylphenidate and three modafinil, with a total of 244 and 146 patients, respectively. Due to important differences in methodologies between studies, a meta-analysis was assumed inappropriate for the primary outcome. A narrative synthesis was performed. One study using methylphenidate and two using modafinil demonstrated improvements in some cognitive functions as measured by objective cognitive assessment tests. Psychostimulants did not improve QoL and were not associated with more AEs.

conclusionTo date, limited evidence is available to estimate the usefulness (or lack) of psychostimulants on cognitive function in this population.

Indexed as

AdultCancer SurvivorsCentral Nervous System StimulantsCognitionCognitive DysfunctionHumansMethylphenidateModafinilNeoplasmsQuality of LifeRandomized Controlled Trials as TopicCentral Nervous System StimulantsMethylphenidateModafinilCancerCognitive impairmentPsychostimulantsSurvivorship

Identifiers

PMID31250183
OpenAlexW2955164143

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.